Provider Demographics
NPI:1104461037
Name:PEREZ, MARIA J (FNP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:J
Last Name:PEREZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 S EXPRESSWAY 77 STE S
Mailing Address - Street 2:
Mailing Address - City:RAYMONDVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78580-4240
Mailing Address - Country:US
Mailing Address - Phone:956-689-4120
Mailing Address - Fax:956-689-4142
Practice Address - Street 1:640 S EXPRESSWAY 77 STE S
Practice Address - Street 2:
Practice Address - City:RAYMONDVILLE
Practice Address - State:TX
Practice Address - Zip Code:78580-4240
Practice Address - Country:US
Practice Address - Phone:956-689-4120
Practice Address - Fax:956-689-4142
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141521363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily